Paronychia: Difference between revisions

Revision as of 18:59, 26 February 2012

If no fluctuance is identified:
- Warm soaks, elevation
- TMP/SMX DS 1-2 tab PO x 7-10d + (cephalexin 500mg PO QID x7-10d OR dicloxacillin 500mg PO QID x 7–10d)
If unclear if wound is fluctuant:
- Have pt apply pressure to distal aspect of affected digit
- A larger than expected area of blanching, reflecting a collection of pus, may identify need for drainage
If fluctuance or pus is identified:
- Incise area of greatest fluctuance w/ #11 blade

Tintinelli

Authors:

@@ Line 3: / Line 3: @@
 *Usually caused by minor trauma (e.g. nail-biting, manicures, hangnails)
-==Management==
+==Treatment==
 *If no fluctuance is identified:
 **Warm soaks, elevation
@@ Line 9: / Line 9: @@
 *If unclear if wound is fluctuant:
 **Have pt apply pressure to distal aspect of affected digit
-**A larger than expected area of blanching, reflecting a collection of pus, may identify the need for drainage
+**A larger than expected area of blanching, reflecting a collection of pus, may identify need for drainage
 *If fluctuance or pus is identified:
+**Incise area of greatest fluctuance w/ #11 blade
-.18 After suppuration has occurred, the infection will exhibit either fluctuance or identifiable pus that will necessitate drainage. Minor infections can be treated with elevation of the perionychium or eponychium with a flat probe #11 blade (Figure 280-5) or needle slid along the surface of the nail.19 If only elevating the eponychium from the nail, this procedure can be performed without placing a digital block or providing analgesia.20 In general, only nonviable tissue can be incised without provoking pain.
+==Disposition==
+*Wound check in 24-48hr
 ==See Also==